Zhou Xiaowen, Yan Zhenqian, Wang Yaxin, Ren Qi, Liu Xiaoqi, Fang Ge, Wang Bin, Li Xiantao
Laboratory of TCM Syndrome Essence and Objectification, School of Basic Medical Sciences, Guangzhou University of Chinese Medicine, Guangzhou 510006, China.
Guangzhou Sagene Tech Co., Ltd., Guangzhou 510006, China.
Evid Based Complement Alternat Med. 2021 Apr 9;2021:9863714. doi: 10.1155/2021/9863714. eCollection 2021.
Hyperlipidemia, due to the practice of unhealthy lifestyles of modern people, has been a disturbance to a large portion of population worldwide. Recently, several scholars have turned their attention to Chinese medicine (CM) to seek out a lipid-lowering approach with high efficiency and low toxicity. This study aimed to explore the mechanism of Huatan Jiangzhuo decoction (HTJZD, a prescription of CM) in the treatment of hyperlipidemia and to determine the major regulation pathways and potential key targets involved in the treatment process.
Data on the compounds of HTJZD, compound-related targets (C-T), and known disease-related targets (D-T) were collected from databases. The intersection targets (I-T) between C-T and D-T were filtered again to acquire the selected targets (S-T) according to the specific index. Gene ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway enrichment, as well as network construction, were applied to predict the putative mechanisms of HTJZD in treating hyperlipidemia. Thereafter, an animal experiment was conducted to validate the therapeutic effect of HTJZD. In addition, regulated differentially expressed genes (DEGs) were processed from the RNA sequencing analysis results. Common genes found between regulated DEGs and S-T were analyzed by KEGG pathway enrichment to select the key targets. Lastly, key targets were validated by real-time quantitative reverse transcription PCR (qRT-PCR) analysis.
A total of 210 S-T were filtered out for enrichment analysis and network construction. The enrichment results showed that HTJZD may exert an effect on hyperlipidemia through the regulation of lipid metabolism and insulin resistance. The networks predict that the therapeutic effect of HTJZD may be based on the composite pharmacological action of these active compounds. The animal experiment results verify that HTJZD can inhibit dyslipidemia in rats with hyperlipidemia, suppress lipid accumulation in the liver, and reverse the expression of 202 DEGs, which presented an opposite trend in the model and HTJZD groups. Six targets were selected from the common targets between 210 S-T and 202 regulated DEGs, and the qRT-PCR results showed that HTJZD could effectively reverse Srebp-1c, Cyp3a9, and Insr mRNA expression ( < 0.01).
In brief, network pharmacology predicted that HTJZD exerts a therapeutic effect on hyperlipidemia. The animal experimental results confirmed that HTJZD suppressed the pathological process induced by hyperlipidemia by regulating the expression of targets involved in lipid metabolism and insulin resistance.
由于现代人不健康的生活方式,高脂血症已困扰全球很大一部分人群。最近,一些学者将注意力转向中医,以寻求一种高效低毒的降脂方法。本研究旨在探讨化痰降浊汤(一种中医方剂)治疗高脂血症的机制,并确定治疗过程中主要的调控途径和潜在的关键靶点。
从数据库中收集化痰降浊汤的化合物、化合物相关靶点(C-T)和已知疾病相关靶点(D-T)的数据。根据特定指标再次筛选C-T和D-T之间的交集靶点(I-T),以获得选定靶点(S-T)。应用基因本体(GO)和京都基因与基因组百科全书(KEGG)通路富集以及网络构建来预测化痰降浊汤治疗高脂血症的潜在机制。此后,进行动物实验以验证化痰降浊汤的治疗效果。此外,从RNA测序分析结果中处理调控的差异表达基因(DEG)。通过KEGG通路富集分析调控的DEG和S-T之间的共同基因,以选择关键靶点。最后,通过实时定量逆转录PCR(qRT-PCR)分析验证关键靶点。
共筛选出210个S-T用于富集分析和网络构建。富集结果表明,化痰降浊汤可能通过调节脂质代谢和胰岛素抵抗对高脂血症发挥作用。网络预测化痰降浊汤的治疗效果可能基于这些活性化合物的复合药理作用。动物实验结果证实,化痰降浊汤可抑制高脂血症大鼠的血脂异常,抑制肝脏脂质蓄积,并逆转202个DEG的表达,这些基因在模型组和化痰降浊汤组呈现相反的趋势。从210个S-T和202个调控的DEG之间的共同靶点中选择了6个靶点,qRT-PCR结果表明,化痰降浊汤可有效逆转Srebp-1c、Cyp3a9和Insr mRNA的表达(<0.01)。
简而言之,网络药理学预测化痰降浊汤对高脂血症有治疗作用。动物实验结果证实,化痰降浊汤通过调节参与脂质代谢和胰岛素抵抗的靶点表达,抑制了高脂血症诱导的病理过程。